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First Name*
Last Name*
Email Address*
Company Name*
Address Line 1
Address Line 2
City
State
Zip
Phone Number*
Fax Number
Corporate Web Site
Briefly Describe Your Application
Applied To:
Flat Surface
Rough Surface
Metal
Glass
Plastic
Other
LABEL SPECIFICATIONS
Material:
Paper
White Poly
Silver Poly
Reflective Film
Polyimide (high temp)
Paper Tag
Poly Tag
Other (describe above)
Adhesive:
Permanent
Removable
Freezer Apply
None
Other (describe above)
Label/Tag Size (in inches):
Width X
Height
Alternative Size Acceptable?
Yes
No
Lamination For Added Durability?
Yes
No
Perforations Required?:
None
Between Labels
Other
Print Data:
Sequential
Variable
Static
Print Color(s):
Black
1 Color (not black)
2 Color
3 Color
4 Color
Process
LABEL/TAG FINISHING
Rolls
Sheets/Stacked
Fan Folded
Labels per roll/sheet/fold
How did you discover DASKO for your label needs?*
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Referral
Thomas Register
Tradeshow
Web Search
Other
*Denotes Required Fields
Dasko Label • P.O.Box 546, Seekonk, MA 02771 | Call Us Toll Free 1-866-286-6500